<div id="body">
    <form method="post" id="checkin">
        <input type="hidden" name="route_id" value="{route_id}">
        <fieldset> 
            <h2>{header_checkin}</h2>
            {error}
            {text_checkin_sub}:
            <ul id="checkin">
                <li>{location}</li>
                <li>{route}</li>
            </ul>
            <label>
                <input type="radio" name="completed" value="0" {completed}> {text_checkin_completed}
            </label>
            <label>
                <input type="radio" name="completed" value="1" {blockcompleted}> {text_checkin_blockcompleted}
                <input type="text" autocomplete="off" name="blocks" value="{blocks}"> {text_checkin_blocksuffix}
            </label>
            <label>
                <input type="radio" name="completed" value="-1" {notcompleted}> {text_checkin_notcompleted}
            </label>
            <label>
                {text_checkin_comment}:<br>
                <textarea name="comment">{comment}</textarea>
            </label>
            <label>
                <input type="submit" value="{btn_checkin}">
            </label>
        </fieldset>
    </form>
</div>
